Delírio pós-anestésico

Ruiz-Neto, Pedro Poso; Moreira, Neli A.; Furlaneto, Maria Elizabet

doi:10.1590/s0034-70942002000200013

Cited by 5 publications

(8 citation statements)

References 31 publications

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“…. The use of drugs with cholinergic activity also corroborates the cholinergic etiology hypothesis of delirium 1,16 , and physostigmine, which has central cholinergic activity, has been successfully used in the treatment of patients with delirium 16 . The cholinergic model has also been supported by the observation that hospitalized elderly patients developed delirium after the administration of diphenidramine 9 .…”

Section: Toxic Causesmentioning

confidence: 56%

“…As escalas mais utilizadas são: Confusion Assessment Method -CAM que foi validada para o português (Tabela II ) 1,16 e o Mini Mental State Examination 10,20 . A presença dos itens 1 e 2 com os itens 3 ou 4 já fazem o diagnóstico de delirium 16 . Após o diagnóstico sindrômico deve-se dar ênfase ao diagnóstico etiológico 16 .…”

Section: Etiologia E Fatores De Riscounclassified

“…A presença dos itens 1 e 2 com os itens 3 ou 4 já fazem o diagnóstico de delirium 16 . Após o diagnóstico sindrômico deve-se dar ênfase ao diagnóstico etiológico 16 . O Mini Mental State Examination é um teste que avalia a orientação, o registro, a memória, a capacidade de atenção e cálculo e a linguagem 20 .…”

Section: Etiologia E Fatores De Riscounclassified

“…Patient history should be complemented with the physical exam, other tests to rule out associated diseases and drug intoxication, and scales that assess the cognitive function 1 . The scales used more often include the Confusion Assessment Method -CAM, whose Portuguese version has been validated (Table II) 1, 16 , and the Mini Mental State Examination 10,20 . The presence of items 1 and 2 along with item 3 or 4 is diagnostic of delirium 16 .…”

Section: Diagnosismentioning

confidence: 99%

“…The scales used more often include the Confusion Assessment Method -CAM, whose Portuguese version has been validated (Table II) 1, 16 , and the Mini Mental State Examination 10,20 . The presence of items 1 and 2 along with item 3 or 4 is diagnostic of delirium 16 . After the syndromic diagnosis, emphasis should be on the etiological diagnosis 16 .…”

Section: Diagnosismentioning

confidence: 99%

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Delirium pós-operatório em idosos

Barbosa¹,

Cunha²,

Pinto

2008

Rev. Bras. Anestesiol.

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RESUMOBarbosa FT, Cunha RM, Pinto ALCLT -Delirium Pós-Operatório em Idosos. JUSTIFICATIVA E OBJETIVOS:O delirium pós-operatório é complicação comum na faixa etária avançada, tem fisiopatologia pobremente esclarecida e tem como um dos sintomas o delírio. O delírio parece estar relacionado com a atividade colinérgica central. O objetivo deste artigo foi descrever a etiologia, o diagnóstico, as estratégias de prevenção e o tratamento do delirium pós-operatório por meio da revisão de literatura. CONTEÚDO:Foram descritos as prováveis etiologias, o diagnós-tico, a prevenção e o tratamento do delirium pós-operatório em idosos. CONCLUSÕES:A incidência de delirium pós-operatório é maior nos pacientes idosos e as estratégias de prevenção devem ser utilizadas para redução da mortalidade associada a essa complicação anestésico-cirúrgica.Unitermos: CIRURGIA: idosos; COMPLICAÇÕES: delirium, delírio. SUMMARYBarbosa FT, Cunha RM, Pinto ALCLT -Postoperative Delirium in the Elderly. BACKGROUND AND OBJECTIVES:Postoperative delirium is a common complication in the elderly whose pathophysiology is not well known. It seems to be related to central cholinergic activity. A literature review was undertaken to describe the etiology, diagnosis, prophylactic strategies, and treatment of postoperative delirium. CONTENTS:Probable etiologies, diagnosis, prophylaxis, and treatment of postoperative delirium in the elderly were described. CONCLUSIONS:The incidence of postoperative delirium is higher in the elderly, and prophylactic measures should be taken to reduce the mortality associated with this complication.

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Section: Toxic Causesmentioning

confidence: 56%

Section: Etiologia E Fatores De Riscounclassified

Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

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Delirium pós-operatório em idosos

Barbosa¹,

Cunha²,

Pinto

2008

Rev. Bras. Anestesiol.

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Postoperative Delirium Following Orthognathic Surgery in a Young Patient

Costa

Herrera²,

Pereira-Stabile

et al. 2017

Journal of Oral and Maxillofacial Surgery

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Delirium is an organic mental syndrome with acute onset characterized by diffuse brain dysfunction and neural activity disorganization. It is usually related to cognition and perception changes, decreased level of consciousness, and disorganization of thoughts that are unrelated to previous dementia. Occurrence is more frequent in patients with previous degenerative disease and elderly patients, especially those older than 85 years. Although the pathophysiology is not totally known, studies have shown that, among the main factors that lead to delirium, the drugs used for general anesthesia induction are the most relevant (hypnotics, anticholinergic drugs, and H receptor blockers), especially those used in long surgical procedures. This report describes the case of a 24-year-old woman with a noncontributory medical and psychological history. She underwent bimaxillary orthognathic surgery with a total general anesthesia time of 7 hours. Postoperatively, she developed agitation, confusion, and delirium. After a psychiatry consult and discussion with the anesthesia team, the diagnosis of psychotic break owing to late postoperative delirium was established.

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